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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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No as double dipping isn’t allowed. But sometimes taking A&A can be better (for a while).
VA A&A has a maximum monthly payout based on the status of the veteran. If your mom’s A&A is bc she is the widowed spouse, the max payout is $1478 if I’m not mistaken. So it is probably NOT enough money when added to her SSA and her pension income to private pay for a NH, that runs 7K-15K a month. So if this is abt paying for a NH, going LTC Medicaid route is better as this program will pay for custodial care costs in a NH. HOWEVER… if this is about mom being in AL or a more modest in price MC, the VA A&A along with her regular monthly income & some savings, may work to actually be enough $ to private pay for her stay in an AL or MC. And this could matter as most States LTC Medicaid programs do not cover AL or MC at all or if they do it is n a way more limited in # waivers.
A&A is also really good if the elder is in a NH and needs to do a spend down (to become sufficiently impoverished for how your State runs its LTC Medicaid system). Like say mom is in a NH which costs 10K mo but she gets 2K in SSA plus the $1478 A&A and has 75K in savings. She’s roughly drawing down $6500 a mo from her savings. That xtra A&A $ will enable her to stretch out her $ for about a whole year at private pay, which means she will have lots more choices initially as to which NH to move to as so many limited the # of Medicaid beds and do placement first and foremost from those already in their NH. So for a mom like this, A&A makes sense to get. The month before this mom gets her savings down to 2K, would be when her POA gets together with the NH social worker and admissions office to get ready to do the LTC Medicaid filing and to let VA know to suspend her A&A. VA will then pay her $90 a month VA personal needs allowance. & it is NOT counted as income for LTC Medicaid. So she / her POA will have a bit more extra $ to add to whatever paltry Personal Needs Allowance her States Medicaid has set to pay things that LTC Medicaid does not cover (toiletries, clothing, magazines, beauty shoppe).
also since your in ABQ, if y’all are possibly thinking of a burial up at the military cemetery right outside of Santa Fe, you may want to call to see it’s open and if so under what type of burials. FIL is buried there and MIL was cremated so she could be buried there. It was several months wait till there was enough cremains that all needed to be “planted”. But I don’t think she could have had full in casket done as it’s closed for those.
That is a beautiful cemetery. Especially when it has snowed.
Thanks Igloo Love knowing this part of using Vet benefits to stretch the private days longer. I wish I would have done that long before DH aunt had spent so much of her savings in home care and maintaining her home. She could have stayed in ALF longer.
I knew she had a choice to apply for either VA or Medicaid but was slammed with her home flood at the time she had to have more care. Sigh. We learn so much in hindsight.
If you are talking Medicaid paying for Longterm care, no you can't have A&A too. When on Medicaid, the person's Social Security and work pension, if one, goes towards the persons care and Medicaid pays their share. Because both are governent funded, its usually Medicaid that wins out.
Going to have to leave this to your own research myself. I do know the VA has online guidance and you can ask for someone on the phone to help you work out an answer. Best of luck to you. Would be lovely if you find the answer and post it to US for Forum information. In a short look-see on the internet I found this below, and not a whole lot more. Good luck.
"Can veterans get Medicaid while they are drawing Department of Veterans Affairs benefits, and should they? While it is theoretically possible to be eligible for both Medicaid and VA benefits, such as Aid and Attendance (A&A) or Housebound benefits, very few individuals get assistance from both programs at the same time. If they are eligible for both programs, usually they receive the one that provides the greater benefit."
I do think too that part of the problem is that Medicaid is joint Federal and State program, and what is provided in one state is often different to what's provided in another?
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
VA A&A has a maximum monthly payout based on the status of the veteran. If your mom’s A&A is bc she is the widowed spouse, the max payout is $1478 if I’m not mistaken. So it is probably NOT enough money when added to her SSA and her pension income to private pay for a NH, that runs 7K-15K a month. So if this is abt paying for a NH, going LTC Medicaid route is better as this program will pay for custodial care costs in a NH.
HOWEVER…
if this is about mom being in AL or a more modest in price MC, the VA A&A along with her regular monthly income & some savings, may work to actually be enough $ to private pay for her stay in an AL or MC. And this could matter as most States LTC Medicaid programs do not cover AL or MC at all or if they do it is n a way more limited in # waivers.
A&A is also really good if the elder is in a NH and needs to do a spend down (to become sufficiently impoverished for how your State runs its LTC Medicaid system). Like say mom is in a NH which costs 10K mo but she gets 2K in SSA plus the $1478 A&A and has 75K in savings. She’s roughly drawing down $6500 a mo from her savings. That xtra A&A $ will enable her to stretch out her $ for about a whole year at private pay, which means she will have lots more choices initially as to which NH to move to as so many limited the # of Medicaid beds and do placement first and foremost from those already in their NH. So for a mom like this, A&A makes sense to get. The month before this mom gets her savings down to 2K, would be when her POA gets together with the NH social worker and admissions office to get ready to do the LTC Medicaid filing and to let VA know to suspend her A&A. VA will then pay her $90 a month VA personal needs allowance. & it is NOT counted as income for LTC Medicaid. So she / her POA will have a bit more extra $ to add to whatever paltry Personal Needs Allowance her States Medicaid has set to pay things that LTC Medicaid does not cover (toiletries, clothing, magazines, beauty shoppe).
also since your in ABQ, if y’all are possibly thinking of a burial up at the military cemetery right outside of Santa Fe, you may want to call to see it’s open and if so under what type of burials. FIL is buried there and MIL was cremated so she could be buried there. It was several months wait till there was enough cremains that all needed to be “planted”. But I don’t think she could have had full in casket done as it’s closed for those.
Thanks Igloo
Love knowing this part of using Vet benefits to stretch the private days longer. I wish I would have done that long before DH aunt had spent so much of her savings in home care and maintaining her home. She could have stayed in ALF longer.
I knew she had a choice to apply for either VA or Medicaid but was slammed with her home flood at the time she had to have more care. Sigh. We learn so much in hindsight.
"Can veterans get Medicaid while they are drawing Department of Veterans Affairs benefits, and should they?
While it is theoretically possible to be eligible for both Medicaid and VA benefits, such as Aid and Attendance (A&A) or Housebound benefits, very few individuals get assistance from both programs at the same time. If they are eligible for both programs, usually they receive the one that provides the greater benefit."
I do think too that part of the problem is that Medicaid is joint Federal and State program, and what is provided in one state is often different to what's provided in another?